ZipRecruiter

Log In

1

Um Denial Letter Writer Jobs (NOW HIRING)

BronxCare Health System

Appeals Manager

Bronx, NY · On-site

$91K - $93K/yr

... to UM staff related to denial prevention strategies. - Participates in JCAHO hospital wide ... and written communication skills. - Ability to work independently as well as in teams for the ...

BronxCare Health System

Appeals Manager

Bronx, NY · On-site

$23 - $28.25/hr

... to UM staff related to denial prevention strategies. - Participates in JCAHO hospital wide ... and written communication skills. - Ability to work independently as well as in teams for the ...

BronxCare Health System

Appeals Manager

Bronx, NY · On-site

$91K - $93K/yr

... to UM staff related to denial prevention strategies. - Participates in JCAHO hospital wide ... and written communication skills. - Ability to work independently as well as in teams for the ...

previous pagenext page

Showing results 21-40

All JobsUm Denial Letter Writer Jobs

Um Denial Letter Writer information

See salary details

$42K

$78.9K

$136K

How much do um denial letter writer jobs pay per year?

As of Aug 11, 2026, the average yearly pay for um denial letter writer in the United States is $78,865.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,500.00 and $102,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a UM Denial Letter Writer?

To thrive as a UM Denial Letter Writer, you need a solid understanding of healthcare terminology, medical necessity criteria, and strong written communication skills, often supported by experience in medical billing, coding, or case management. Proficiency in healthcare management systems, electronic medical records (EMR), and relevant compliance standards such as HIPAA is critical. Attention to detail, professionalism, and the ability to convey sensitive information with empathy are key soft skills in this position. These abilities are essential to ensure legal compliance, clear explanations to providers or patients, and the overall integrity of the denial process.

What is a UM Denial Letter Writer?

A UM (Utilization Management) Denial Letter Writer is responsible for drafting letters that communicate the denial of healthcare services based on medical necessity, insurance policies, or clinical guidelines. They ensure the letters are clear, accurate, and compliant with regulatory requirements. Their role involves reviewing medical records, collaborating with clinicians, and adhering to legal and organizational standards.

What are the typical challenges faced by a UM Denial Letter Writer, and how can you prepare for them?

UM Denial Letter Writers often encounter challenges like translating complex clinical or insurance information into clear, understandable language while ensuring compliance with legal and company standards. You may need to navigate tight deadlines, evolving payer requirements, and interactions with clinical staff and patients who may be upset about a denial. To prepare, it’s helpful to stay updated on industry guidelines, maintain excellent time-management skills, and develop strategies for balancing empathy with objectivity in your writing. Many employers also provide training and templates to support consistency and accuracy in this role. Building collaborative relationships with utilization review teams and medical professionals can further streamline the process and help resolve inquiries more efficiently.

More about Um Denial Letter Writer jobs
What are the most commonly searched types of Um Denial Letter Writer jobs? The most popular types of Um Denial Letter Writer jobs are:
What states have the most Um Denial Letter Writer jobs? States with the most job openings for Um Denial Letter Writer jobs include:
What job categories do people searching Um Denial Letter Writer jobs look for? The top searched job categories for Um Denial Letter Writer jobs are:
Um Denial Letter Writer jobs near you
Infographic showing various Um Denial Letter Writer job openings in the United States as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 100% In-person job distribution, with an average salary of $78,865 per year, or $37.9 per hour.

Healthcare Services Coordinator - Aspire Health Plan

Montage Health

Monterey, CA • On-site

Full-time

Posted 26 days ago

Montage Health rating

9.7

Company rating: 9.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Welcome to Montage Health's application process!
Job Description:
Position Summary
The Utilization Management (UM) Health Services Coordinator provides operational and administrative support for Health Services and Utilization Management activities within the health plan. This role is responsible for coordinating authorization intake and processing, managing UM correspondence and reporting workflows, supporting provider and member inquiries, and ensuring timely, accurate handling of utilization management requests in compliance with Medicare Advantage, CMS, HIPAA, and internal regulatory standards.
The UM Health Services Coordinator serves as a key liaison between providers, members, clinical staff, claims, and delegated entities to facilitate efficient authorization processing, escalation of clinical reviews, out-of-network coordination, and resolution of operational issues. This position requires strong organizational skills, attention to detail, regulatory awareness, and the ability to manage multiple priorities in a fast-paced managed care environment.
Essential Duties and Responsibilities
Utilization Management Operations
  • Coordinate intake, entry, and processing of utilization management requests received via fax, portal, phone, and electronic submissions.
  • Perform preliminary review of authorization requests for completeness, required documentation, eligibility verification, and benefit coverage.
  • Route and escalate requests requiring clinical review to the appropriate nurse or medical director in accordance with UM guidelines and turnaround time requirements.
  • Process expedited authorization requests and assist with required outreach and documentation.
  • Support denial and modification workflows, including preparation, distribution, and documentation of adverse determination notices.
  • Manage additional information requests for incomplete authorization submissions and follow up with providers as needed.
  • Assist with out-of-network (OON) provider searches, wrap network verification, carve-out determinations, and Letters of Agreement (LOAs).
  • Coordinate retroactive review and authorization-related claims resolution activities with claims and clinical teams.

Correspondence, Reporting, and Documentation
  • Generate, distribute, fax, upload, and maintain authorization-related correspondence, letter logs, and required UM reports.
  • Monitor and manage daily letter reporting processes and ensure timely filing and tracking of documentation.
  • Attach and maintain fax confirmations and supporting records in accordance with departmental procedures and audit standards.
  • Maintain accurate records within health plan systems, databases, and tracking tools.
  • Assist with member and provider loading, eligibility verification, and data maintenance activities.

Provider and Member Support
  • Respond professionally and accurately to provider, member, and internal staff inquiries regarding authorization status, eligibility, benefits, and UM processes.
  • Answer inbound calls, manage voicemail queues, and respond to departmental email inquiries in a timely manner.
  • Develop and maintain positive working relationships with provider offices, delegated entities, hospitals, and community partners.
  • Provide operational support for pharmacy coordination, medical records requests, and other Health Services functions as assigned.

Compliance and Regulatory Support
  • Ensure compliance with CMS, Medicare Advantage, HIPAA, NCQA, and internal Aspire Health Plan policies and procedures.
  • Maintain confidentiality of protected health information (PHI) and sensitive member data.
  • Support audit readiness through accurate documentation, tracking, and adherence to turnaround time standards.
  • Participate in process improvement initiatives to enhance operational efficiency, accuracy, and member/provider experience.

Administrative Support
  • Provide administrative and project support to Medical Management leadership and committees as assigned.
  • Assist with departmental projects, workflow updates, and cross-functional operational initiatives.
  • Perform additional duties and responsibilities as assigned.

Qualifications
Required Qualifications
  • Associate degree or equivalent combination of education and relevant experience.
  • Minimum of 3-5 years of experience in managed care, health insurance, utilization management, medical office operations, claims, or provider services.
  • Working knowledge of medical terminology, insurance terminology, CPT/HCPCS/ICD coding, and authorization processes.
  • Experience handling high-volume administrative workflows with strong attention to accuracy and detail.
  • Proficiency with Microsoft Office applications, including Excel, Outlook, and Word.
  • Strong written and verbal communication skills.
  • Ability to prioritize multiple assignments and meet regulatory and operational deadlines.
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Strong customer service and problem-solving skills.

Preferred Qualifications
  • Experience supporting Medicare Advantage and Commercial managed care operations.
  • Knowledge of CMS, HIPAA, NCQA, and utilization management regulatory requirements.
  • Experience working with authorization platforms, electronic medical records, or health plan systems.
  • Bilingual English/Spanish preferred.

Core Competencies
  • Organizational and Time Management Skills
  • Attention to Detail and Accuracy
  • Regulatory Compliance Awareness
  • Critical Thinking and Problem Solving
  • Professional Communication
  • Customer Service Orientation
  • Adaptability and Flexibility
  • Team Collaboration
  • Confidentiality and Integrity

Aspire Health is an equal opportunity employer.
Pay rate: 20.00-26.00
Assigned Work Hours:
8AM-5PM PST
Position Type:
Regular

What Montage Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply